Organization
COMMUNITY HEALTH AND WELLNESS LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON JOHNSON (OPERATIONS MANAGER)
(470) 398-0995
Entity
Organization
Contact information
Practice address
1039 RIDGE AVE SW, ATLANTA, GA 30315-1601
(470) 398-0995
Mailing address
1039 RIDGE AVE SW, ATLANTA, GA 30315-1601
(470) 398-0995
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
06/16/2022
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